Provider Demographics
NPI:1306154208
Name:MUSIC, LINDA MARIE (LPN)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:MUSIC
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-1538
Mailing Address - Country:US
Mailing Address - Phone:740-708-6909
Mailing Address - Fax:
Practice Address - Street 1:517 E 7TH ST
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-1538
Practice Address - Country:US
Practice Address - Phone:740-708-6909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH103182164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse